NPI | 1619574274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209023229) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041436175) |
Enumeration Date | 2020-10-07 |
Last Update Date | 2021-05-03 |